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Fall Forward Wellness Center
Clinic/Center in Charlotte, North Carolina
NPI 1487270674

Fall Forward Wellness Center is a Clinic/Center based in Charlotte, NC. Fall Forward Wellness Center practices in Charlotte, NC. The NPI Number for Fall Forward Wellness Center is 1487270674 and holds a License No. (North Carolina).

The current practice location address for Fall Forward Wellness Center is 12709 Caldwell Rd, Charlotte, NC and can be reached out via phone at 704-968-2466.

Location: 12709 Caldwell Rd, Charlotte, NC, 28213-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487270674
Provider Name
Fall Forward Wellness Center
Credential
Provider Entity Type
Organization
Address
12709 Caldwell Rd, Charlotte, NC, 28213-3811
Phone Number
704-968-2466
Fax Number
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCAS-20838 01 NC NORTH CAROLINA PROFESSIONAL PRACTICE BOARD
institution
Provider Business Practice Location Address Details
Address
12709 Caldwell Rd
City
Charlotte
State
North Carolina
Zip
28213-3811
Phone Number
704-968-2466
Fax Number
person
Provider Business Mailing Address Details
Address
12709 Caldwell Rd
City
Charlotte
State
North Carolina
Zip
28213-3811
Phone Number
704-968-2466
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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